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HomeMy WebLinkAboutSCC Health & Human Services Board 06-19-97REVISED •S NOTICE . CO y TO: Robert Boche, Chairman St, Croix County Board FROM: Robert Stephens (John Borup 246-8223) COMMITTEE TITLE: St. Croix County Health and ]Roman Services Board DATE; 06/19/97 TIME: 6:3Q p,m. I�bTE: Meeting to begin immediately following the "Open kaudget Hearing:, which begins at 5:310 p.m. LOCATION: St. Croix County Health and Human Services Complex New Richmond -CONFERENCE ROOM CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE" OF NEXT MEETING: 07/10/97 ACTION ON FREvIOUS MINUTES: 06/10/97 ANNOUNCEMENTS APPOINTMENTS UNFINISHED BUSINESS: 1, Report by Brian Schoeneck�Wisconsin Association of Hermes and Services for the Aging 2. Personnel issues a. Job description Updates 1) Mental Health/Alcohol and Drug 2) Long Term Support Coordinator Abuse Coordinator clinical 3) Mental Health/Alcohol and Drug Services Supervisor 4) Social Work Supervisors b, 1998 Position Requests Abuse 3. health and Human Services/Nursing Home Report 4. Women, Infant, and Children (WIC) Program Update and Resolution to Support Continued State Funding A31719011110 gag;" SUBMITTED BY: John M. Borup DATE: June 16, 1997 :OPIES TOW COUNTY BOARD 01 COXKITTEE MEMBERS ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Robert Boche, Chairman St. Croix County Board FROM: Robert Stephens (John Borup 246-8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 06/19/97 TIME: 6:30 p.m. NOTE: Meeting to begin immediately following the "Open Budget Hearing., which begins at 59.30 p.m. LOCATION: St. Croix County Health and Human Services Complex New Richmond -CONFERENCE ROOM CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 07/10/97 ACTION ON PREVIOUS MINUTES: 06/10/97 ANNOUNCEMENTS APPOINTMENTS UNFINISiiED BUSINESS: NEW BUSINESS: 1. Report by Brian Schoeneck-Wisconsin Association of Homes and Services for the Aging 2. Personnel Issues a. Job description Updates 1) Mental Health/Alcohol and Drug Abuse 3) Mental Health/Alcohol and Drug Abuse Services Supervisor Clinical 3. Health and Human Services/Nursing Home Report 4. Women, Infant, and Children (WIC) Program Update and Resolution to Support Continued State Funding ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SIIBMITTED BY: John M. Borup DATE: June 10, 1997 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE BOARD COMMITTEE MEMBERS TOs Robert Boche, Chairman St. Croix County Board FBOM: Robert Stephens (John Borup 246-8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 06/19/97 TIME: 6:30 p.m. NOTE: Meeting to begin immediately following the "Open Budget Hearing:, which begins at 5:30 p,m. LOCATION: St. Croix county Health and Human Services Complex New Richmond -CONFERENCE ROOM CALL TO ORDER ROLL CALL WOPT=ON OF AGENDA DATE OF XXXT MEETING: 07/10/97 ACTION ON PREVIOUS MINUTES: 06/10/97 ANNOUNCEMENTS APPOINTMENTS nMINISHED EFSINESS: 1. Repot by Brun Schoeneck-Wisconsin AssoOiation of Homes and Services for the Aging 2. Personnel Issues a. Job description Updates 1) Mental Health/Alcohol and Drug 2) Long Term Support Coordinator Abuse Coordinatoa� 3) Mental Health/Alcohol and Drug Services supervisor Abuse Clinical 3. Health and Human Services/Nursing Home Report 4. Women, Infant, and Children (WIC) Program Update and Resolution to Support Continued state Funding SUBMITTED BY: John M, Borup DATE: June 10, 199'7 4! ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEARING June 19, 1997 The St. Croix County Health and Human Services Board conducted an "Open Hearing" at the St. Croix County Health and Human Services/Health Center complex in New Richmond, Wisconsin. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Chris Bethke John Dowd Einar Horne Fern Johnson Mary Louise Olson STAFF PRESENT: John Borup, Human Services Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accountant Melinda Hansen, PH Nutrition Coord/WIC Jaye Hay, Reprod. Health PHN Deloris Mosay, LTS Social Worker Mike Traynor, LTS Social Worker Martha Bydzovsky, LTS Social Worker Raelle Jorae, E.I. Program Aide Steve Knot, Mental Health Therapist Marilyn Fruit, Economic Support Supervisor Kathy Dunlap, Family & Children's Supervisor Fred Johnson, Family & Children's Supervisor Ron Kiesler, Mental Health Coordinator Ron Lockwood, Social Work Supervisor Marcey Backes, Home Health Coordinator Kristie Tellijohn, Director of Nursing Ro, n Eichstadt, Workshop Director Debbie WillinkSocial Worker Norma Vrieze, Early Intervention Director Judy Aronson, Secretary OTHERS PRESENT: See Attached Chair Stephens, called the Hearing to order at 5:30 P.M., noting that the meeting was properly and legally publicized. Chair Stephens welcomed everyone to the Hearing and invited everyone to speak and asked that everyone sign the sheet. Stephens stated, this is the fifth consecutive year of "0" budget of county allocations. Stephens stated, "We do the best we can with the money we have to meet your needs. We will plead with the County Board to increase the budget so we can meet your needs without cutting programs, to cut those programs is to hurt people and that would be the last resort. " Borup stated this is the fifth year freeze of county allocations. We are still receiving overhead increases without any additional funds. We are going to approach the Finance Committee to ask them to increase the allocation. Chair Stephens read several letters from clients to support the need of services. Mike G. , resident of the nursing home again gave the highest praise for the staff in the nursing home. He stated the labor contract is overdue, the people deserve it, the people work hard here. We need to maintain what we do have. Mike also states he met people in physical therapy that say this is the best facility they have ever worked at. Glen W . , stated he has a learning disabled son and job support is a big issue for him. He will be a productive member of society but will need these program to help to make him a productive citizen. Jaye H. , stated her brother is developmental disabled and lives at a group home, works at St. Croix Industries. His job means everything to him. She pleaded not to cut services, to continue funding these programs, if not increase them. John S., stated he is a taxpayer who believes taxes should be increased if that would ensure programs will not be cut. He stated if County Board members could hear what the needs are they would increase the budget, they just don't know what the programs are. If we do not increase in the dollars for services or willing to have an increase in taxes to ensure individuals who need services would get those services. Wanda V., St. Croix County Disability Coalition, Inc., stated respite care is needed and there is a lack of respite in St. Croix County. Respite care is to give the care giver a night off, to give that person a rest from the daily schedule/routine. Lori M., stated they have a son who goes to a respite care home every two weeks for 48 hours. Their son needs special care and equipment. With a limited amount of money that will be up in respite care in a couple of months. This is an excellent program and sure hopes to see it continue. Lee K. , stated it bothers him to see the waiting list in Long Term Support. He would like to have the committees handle the contingency fund instead of all of the dollars going into one fund. It would be nice to have each board handle their own contingency fund. Ray M., Chairman Long Term Support, stated staff have done a remarkable job in getting the waiting list down. They have qualified people and qualified care. 2 Debbie W., appeals to the County Board/Finance Committee members to visit homes to see the tremendous care these children receive from families, to spend a day with the families. Those families would be glad to share a day with them. She states, let there be no freeze. Shelly W. and Mike W., are the parents of a child in a wheelchair. The families have no preparation for a child of special needs. They are advocates for respite, if you take care of the parents, they can take care of the child and you have no idea the toll it takes on the family. Raelle J., has a 16 y/o son in a wheelchair and feels blessed when her son got involved with the respite care program. Taking care of these children can utterly drain you. The parents exist in a state of chronic exhaustion. She stated the respite care program is a God send. They also are on the family support program. They provide support and services, their home was modified with a ramp on the front of the house. With family support funding, there were funds available to raise the roof on the mini van. She is grateful we have these programs. She strongly advocates whatever funding is available. Chair Stephens asked if there was anyone else who would like to give testimony. Stephens stated "we work for you," and closed by saying tl-iank you very much for coming. Hearing adjourned at 6:30 p.m. Chairman: Attest: G, STo UK IX COUNTY HEALTH AND HUMAN SERVICES BOARD June 19, 1997 The St. Croix County Health and Human Services Board met on June 19, 1997, at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Chris Bethke Jack Dowd Einar Horne Fern Johnson Mary Louise Olson MEMBERS ABSENT: Allen Limberg, excused George Sinclear STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Melinda Hansen, PH Nutrition Coordinator/WIC Ron Kiesler, Mental Health/AODA Coordinator Fred Johnson, Family & Children's Supervisor Kathy Dunlap, Family & Children's Supervisor Steve Kirt, Mental Health Therapist Marilyn Fruit, Economic Support Supervisor Judy Aronson, Secretary OTHERS PRESENT: Robert Boche, County Board Chairman Brian Schoeneck, Wisconsin Association of Homes and Services for the Aging Chair Stephens, called the meeting to order at 6:30 P.M. noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting is scheduled for Thursday, July 10, 1997 at 8:00 a.m. at' the St. Croix County Health and Human Services/Health Center complex. Olson will review the vouchers at 7:30 a.m. AGENDA: MOTION: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the agenda be approved as circulated. MINUTES: MOTION: A motion was introduced by Olson, seconded by Johnson, and unanimously adopted: That the minutes of the 06/10/97 Health and Human Services Board meeting be approved as circulated. Report by Brian Schoeneck-Wisconsin Association of Homes and Services for the A�in�: Chair Stephens welcomed Schoeneck to the Health and Human Services board meeting. Schoeneck joined us to answer any questions and discuss financial matters regarding the nursing home industry and Long Term Care Redesign. Schoeneck distributed an overview: 1997-99 Wisconsin Budget Medicaid Rate Increases for Nursing Homes as it pertains to St. Croix County. For direct care, nursing homes are currently reimbursed for direct care costs up to maximums under the nursing home reimbursement formula. The direct care maximums are established at 110% of statewide average direct care costs . The Governor reduced the maximums to 102 % . The Joint Finance Committee increased the maximums to 103 % at an estimated cost of $3.2 million. Schoeneck also discussed the minimum occupancy standard for Nursing Home Reimbursement. St. Croix Health Center's 1996 occupancy was 80.87%. To avoid penalties in the 7/1/97 Medicaid rates, the Health Center would need to' bank 14 beds which would reduce the licensed bed capacity from 129 beds to 115 beds. The estimated Medicaid loss if St. Croix Health Center remains at 129 beds versus bed banking 14 beds and operating at 115 beds is $188,000. Note: A portion of this loss may be reimbursed thru the Intergovernmental Transfer Program (ITP) for 97/98. Horne asked what advantage would there be to decertify, if you can be reimbursed. It is hard to make a decision on the impact of the facility, the earliest this Board could make any decision will be August/September. Stephens stated we have no idea where we stand until they get the budget complete in September. Krieger stated we are being penalized for being efficient. Schoeneck had a list of the counties that decertified beds. Horne asked what the rationale was for them decertifying the beds. Stephens stated each individual bed holds value. With the growth and aging in our county, we will certainly needs those beds. The nursing home holds more value with 129 beds than with 14 less. Schoeneck stated the Long Term Care Redesign is up in the air at the present time and set back until at least April. There are a lot of concerns tying acute care with it. There are a lot of issues not addressed at this point. They will continue to revise the plan and move forward. The implementation will take a number of years. Stephens thanked Schoeneck for his presentation. Wisconsin Works (W-2) State Start-up Funds: Fruit stated this is informational only, we are close to ordering the equipment. The actual bids were lower than budgeted by $18,000. We are ordering 17 PC's, 17 printers, and 1 lap top for the FEP's who will then be able to connect into the system when out of the office. The terminals we have now were installed in 1990. Stephens thanked Fruit for keeping the Board informed. Women Infant and Children (WICI Pro rg am Update and Resolution to Support Continued State Fundin Hansen stated State funding for WIC is projected to be cut 11 % in the next fiscal year, resulting in projected waiting lists in 13 of 19 Western Wisconsin counties. WIC provides 2 nutritional counseling and specific foods only to pregnant, breast feeding or new mothers with children under age 5 who meet the program's financial guidelines. With W-2 and welfare reform, Administration is concerned about the future of this important program. A resolution supporting no cuts in funding WIC is proposed. Olson questioned if any of the mothers who receive WIC were smokers. Hansen stated there are about 35 % that do smoke upon admission, but by the termination date the percentage is about 20%. Discussion followed. MOTION: A motion was introduced by Bethke, seconded by Berenschot, Motion passed with Olson and Horne opposing: That the Health and Human Services Board approve to pass the resolution supporting no cuts in funding WIC. Personnel Issues: Job description updates: Due to elimination of the Deputy Director's position and further efforts to cut costs, the following job descriptions were reviewed: 1) Mental Health/Alcohol and Drug Abuse Coordinator; 2) Long Term Support Coordinator; 3) Mental Health/Alcohol and Drug Abuse Clinical Services Supervisor; and 4) Social Work Supervisors. Borup stated these four job descriptions effect 5 people. Borup stated most departments of this size have a Deputy Director. Karen Hall, grade 10 officer, with this job description change would not be the Deputy Director, but would serve as Acting Director in the Director's absence. MOTION: A motion was introduced by Horne, seconded by Olson, and unanimously adopted: That the Health and Human Services Board approve the above listed job description updates to go on to the Personnel Office for a "Hay" System Review. Borup stated with the reduction of positions, we are looking at the 1998 budget to possibly reinstate a vacated clerical support position. Borup stated in the last five years there have been a lot of positions eliminated. The Board askedithat a list of all the positions eliminated over the past five years be brought to the next meeting. Health and Human Services/Nursing Home Report: Borup distributed a list of the Nursing Home and Health &Human Services increases mandated to us. Union arbitration on 06/10/97 has resulted in: 1997: salary increase of 3 % + $.25/hour or $.15 first year, $.10 second year (depending on Bargaining Unit) 1998: salary increase of 3 % 1999: salary increase of 3 % We can't cut mandated services so this will be a big challenge for the County Board. Olson requested a list of all the mandated and non -mandated services be brought to the next meeting so we can distinguish between the two. Krieger stated the nursing home census is at 105. Borup stated he was contacted by Bill Rubins, Economic Development, requesting to purchase acreage west and to the north for a railroad spur. Bethke stated the land may be in CRP, approved the first 8 acres, denied 17 acres. We have 30 days to look at this. Borup to make 3 arrangements and get back to Bethke who will go with Borup. Stephens asked if there were any other issues to bring before the Board. Van Dyk is moving another herdsman here. Olson stated our flag needs to be replaced before the centennial in August. Horne stated he would like the W-2 Steering Committee to look at not meeting every two weeks as he is not able to meet that often. Horne asked about the computer system and if Accounts Receivable has been able to get the statements out. Borup stated we think we have turned some corners, working with Computer Services, we have hired a consultant for computers. The problem was in the dual processors that were not configured properly. We have had no computer lock -ups in the last eight days. Horne stated that someone needs to take responsibility to keep things running. Borup stated that we are and the system is working better. MOTION: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the Health and Human Services Board meeting be adjourned. Time: MO p.m. Chairman: Attest: Secretary RESOLUTION WHEREAS, the State of Wisconsin Women, Infant and Children Supplemental Nutrition Program (WIC) program is serving approximately 69% of the total eligible population while there are federal funds available to provide food supplements for approximately 72% of the population, and, WHEREAS, it is expected that the amount of funds available to cover the local costs associated with client enrollment, nutrition counseling and distribution of WIC vouchers in St. Croix County will be reduced in 19974998 by approximately 7.2% (or $7000); and WHEREAS, in St. Croix County this means that there are approximately 50 pregnant women, infants and breastfeeding mothers who will not receive food supplements even though federal funds for food are available; and, WHEREAS, for each $1.00 spent for WIC nutrition services for mothers and children there are $3.00 saved in medical costs; and, WHEREAS, the State of Wisconsin has provided funds in the past to assure participant enrollment, education and distribution of all federal funds available for WIC food. NOW THEREFORE BE IT RESOLVED, that the St. Croix County Department ofHealth and Human Services Board hereby encourage Wisconsin Senator Alice Clausing, Representative Sheila Harsdorf, Representative Joe Plouff, Governor Tommy Thompson, US Senators Herb Kohl and Russ Feingold, and US Representative Ron Kind to make $1,500,000 available to do health screening and nutrition counseling necessary to assure the distribution of all the food made available in Wisconsin for the WIC program; and, BE IT FURTHER RESOLVED, that this resolution be sent to other Wisconsin Counties and that the Wisconsin Counties Association encourage efforts to fully maximize the use of Federal funds for WIC in Wisconsin. an Services Board